加速康复外科理念在子宫肌瘤围手术期的应用价值

Application value of fast track surgery in perioperative period of hysteromyoma

目的探讨子宫肌瘤患者术后加速康复外科理念对患者生活质量及其满意度的影响。方法选取2016年8月至2017年11月在湖州市妇幼保健院接受治疗的子宫肌瘤患者80例,采用随机数表法将患者分为观察组(40例)和对照组(40例)。观察组患者采用加速康复外科理念(FTS),对照组患者采用常规治疗。记录患者手术时间、出血量、住院时间、治疗费用、视觉模拟评分(VAS评分)、排气时间、进食时间,对比两组患者生活质量指标静力、情感、睡眠、社交活动、身体活动,对比患者治疗后满意度。结果两组患者手术时间、术中出血量比较无显著性差异(t值分别为0.573、1.316,均P>0.05),观察组术后住院时间、治疗费用和VAS评分显著低于对照组(t值分别为3.096、12.917、23.644,均P<0.05)。观察组患者肛门排气时间及进食时间明显短于对照组(t值分别为4.991、39.113,均P<0.05)。观察组患者康复治疗后生活质量各项指标评分均显著优于对照组(t值分别为4.592、2.568、6.750、4.904、3.894,均P<0.05)。观察组康复治疗后满意度为97.50%,显著高于对照组的80.00%(χ~2=6.135,P<0.05)。结论给予子宫肌瘤患者术后加速康复外科理念干预,可降低患者术后疼痛,促进患者术后康复,提高患者生活质量、满意度,效果显著。

Objective To investigate the effect of postoperative fast track surgery(FTS)on the quality of life and satisfaction of patients with hysteromyoma.Methods Eighty patients with hysteromyoma receiving treatment in Huzhou Maternity and Child Care Hospital from August 2016 to November 2017 were selected,and they were divided into observation group(n=40)and control group(n=40)with random number table.The patients in the observation group were treated with the concept of FTS,and the patients in the control group were given routine treatment.The operative time,blood loss volume,hospitalization time,cost of treatment,visual analogue score(VAS score),exhaust time,and eating time were recorded,and two groups of patients were compared and contrasted in quality of life indicators,static emotion,sleep,social activity,physical activity,and patient satisfaction after treatment.Results There was no significant difference in operation time and intraoperative blood loss between two groups(t value was 0.573 and 1.316,respectively,both P>0.05),but the hospitalization time,cost of treatment and VAS score of the observation group were significantly lower than the control group(t value was 3.096,12.917 and 23.644,respectively,all P<0.05).The anal exhaust time and eating time of the observation group were significantly shorter than the control group(t value was 4.991 and 39.113,respectively,both P<0.05).The scores of all indexes of life quality after rehabilitation in the observation group were significantly higher than those in the control group(t value was 4.592,2.568,6.750,4.904 and 3.894,respectively,all P<0.05).The satisfaction rate of the observation group after rehabilitation was 97.50%,which was significantly higher than that of the control group(80.00%)(χ~2=6.135,P <0.05).Conclusion The intervention of FTS for postoperative patients with hysteromyoma can reduce postoperative pain,promote postoperative rehabilitation and improve the quality of life and satisfaction of patients with obvious effect.